| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.35 | $20.35 | $72.16 | |
Aetna
| Professional | $17.80 | $54.08 | $73.12 | |
Anthem BCBS
| Professional | $22.49 | $62.86 | $126.49 | |
Cigna
| Facility | $29.04 | $29.04 | $699.00 | |
Cigna
| Professional | $74.09 | $74.09 | $74.09 | |
Harvard Pilgrim
| Professional | $26.38 | $87.24 | $182.18 | |
Martin's Point
| Professional | $20.35 | $30.33 | $72.16 | |
United
| Professional | $71.89 | $103.21 | $172.97 |